NPI 1710645478 · live from the CMS NPI Registry
Affinity Healthcare, LLC
Nurse Practitioner, Primary Care in Yukon, OK. National Provider Identifier 1710645478, active.
NPI record
| NPI | 1710645478 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Primary Care 363LP2300X |
| Practice location | 736 S Mustang Rd, Yukon, OK 73099 |
| Practice phone | 405-410-5675 |
| Mailing address | 4401 Se 37th St, Norman, OK 73071 |
| Enumerated | November 30, 2021 |
| Last updated | November 30, 2021 |
| Authorized official | Misty Dean, Owner/Sole Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Primary Care primary | 363LP2300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.